MS. PAMELA LYNN PETERS (NPI# 1063647923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063647923 |
| Entity Type | Individual |
| Full Name | MS. PAMELA LYNN PETERS |
| Other Name | MS. PAMELA LYNN BARTLEY |
| Credential | RN |
| Practice Address |
90 Se Klah Che Min Dr Shelton WA 98584-9216 |
| Practice Telephone | 3604279006 |
| Practice Fax Number | 3604271951 |
| Mailing Telephone | 3604279006 |
| Mailing Fax Number | 3604271951 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2009-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN00061427 | WA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUESHIELD | 1254RO | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063741718 | Pamela Grace Peters | Occupational Therapist | 4361 Forge Creek Rd, Mountain City, TN 37683-5129 | 2009-12-09 |
| 1043741531 | Pamela Nicole Peters | Obstetrics & Gynecology | 1001 Potrero Ave # 6d, San Francisco, CA 94110-3518 | 2017-03-25 |
| 1912280991 | Pamela Williams Peters | Counselor | 2204 Brevard Ave, Fort Myers, FL 33901-3518 | 2011-09-26 |
| Street Address |
90 SE KLAH CHE MIN DR |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-9216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669532578 | Squaxin Island Tribe | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2006-12-11 |
| 1386263820 | Deneice Gurrad | Pharmacist | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2020-04-14 |
| 1316329980 | Jonathan Corbin Wilton | Family Medicine | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2015-06-19 |
| 1619241882 | Douglas Reitsch | Pharmacist | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2012-03-05 |
| 1114184579 | Susan Rowson | Counselor | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2008-05-21 |
| 1205007762 | Brenda Dorsey | Counselor | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2008-03-12 |
| 1114135779 | Squaxin Island Medicaid Encounter | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-18 |
| 1598973158 | Squaxin Island Medical Encounter | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-18 |
| 1255546578 | Squaxin Island Dental Clinic Ffs | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-11 |
| 1003021338 | Squaxin Island Dental Clinic Encounter | Clinic/Center | 90 Se Klah Che Min Dr, Shelton, WA 98584-9216 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952933665 | Danielle Hutchins | Registered Nurse | 3231 E Brockdale Rd, Shelton, WA 98584-6501 | 2020-02-11 |
| 1851883193 | Rayna P Salemme | Registered Nurse | 19 Peachtree Ln, Shelton, CT 06484-5456 | 2018-06-02 |
| 1770002487 | Dixie Harvey | Registered Nurse | 2341 E Crestview Dr, Shelton, WA 98584-9096 | 2017-09-13 |
| 1477097491 | Kerry Hardy | Registered Nurse | 655 River Rd, Shelton, CT 06484-4823 | 2016-12-09 |
| 1740731405 | Joy Fulling | Registered Nurse | 351 E Road Runner Dr, Shelton, WA 98584-8517 | 2016-10-18 |
| 1639526627 | Lindsey Joanne Sheppard | Registered Nurse | 510 Kari Ct, Shelton, WA 98584-1324 | 2016-05-19 |
| 1104248152 | Brittney Hyland | Registered Nurse | 141 E Challenger Dr, Shelton, WA 98584-8217 | 2014-01-10 |
| 1518399377 | Angie L Dazell | Registered Nurse | 361 E Way To Tipperary St, Shelton, WA 98584-7526 | 2013-08-04 |
| 1013529122 | Jennifer A Sagen | Registered Nurse | 307 W Cota St, Shelton, WA 98584-2265 | 2020-08-19 |
| 1134746647 | Johanna Jennifer Webley | Registered Nurse | 307 W Cota St, Shelton, WA 98584-2265 | 2020-06-30 |
| Find all providers in SHELTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.